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Organization
COLTS NECK PHCY
Active
Organization
COLTS NECK PHCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MORALES (MGR PHRMCY OPERATIONS CNTR)
(210) 221-8443
Entity
Organization
Contact information
Practice address
201 STATE ROUTE 34 S BLDG C3, NAVAL WEAPONS STATION EARLE, COLTS NECK, NJ 07722-1902
(732) 866-2647
(732) 866-1116
Mailing address
201 STATE ROUTE 34 S BLDG C3, NAVAL WEAPONS STATION EARLE, COLTS NECK, NJ 07722-1902
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3141962
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/20/2006
Last updated
08/25/2008
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